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Cost Estimator
Dahl Memorial
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Cash Pricing
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Imaging
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Select a Service
Select a service.
You may need to get a specific service code from your provider.
Code
Description
EKG WELCOME TO MEDICARE - SCREENING
70100
XR MANDIBLE LT 1V OR 2V
70100
XR MANDIBLE RT 1V OR 2V
70150
XR FACIAL BONES 3V +
70160
XR NASAL BONES
70200
XR ORBITS COMP MIN 4V +
70210
XR SINUS 1V OR 2V
70220
XR SINUS COMPLETE V +
70250
XR SKULL 1V 2V OR 3V
70260
XR SKULL COMPLETE 4V +
70360
XR NECK SOFT TISSUE
70450
CT HEAD WO CONTRAST
70460
CT HEAD W CONTRAST
70470
CT HEAD W WO CONTRAST
70480
CT ORBITS IAC + W CONTRAST
70480
CT ORBITS IAC + WO CONTRAST
70486
CT FACIAL BONES WO CONTRAST
70486
CT SINUS WO CONTRAST
70487
CT FACIAL BONES W CONTRAST
70488
CT FACIAL BONES W WO CONTRAST
70490
CT SOFT TISSUE NECK WO CONTRAST
70491
CT SOFT TISSUE NECK W CONTRAST
70492
CT SOFT TISSUE NECK W WO CONTRAST
70496
CTA HEAD CIRCLE OF WILLIS
70496
CTA HEAD NECK COW CAROTID
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